Can I have an abortion at 19 weeks of pregnancy?

If you do not want the fetus in your belly, then you need to choose the right time for abortion. It is best to have an abortion when you are just pregnant, so that the risk can be minimized. Especially if you need to do it before the nineteenth week of pregnancy, it is impossible to have an abortion if it is in the middle or late stages of pregnancy. At this time, it will cause great harm to your body and will leave sequelae.

Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion.

1) Follow up on schedule; 2) No sexual intercourse or bathing for one month; 3) Appropriate activities; 4) Take a 2-week vacation; 5) Contraceptive guidance: After medical abortion, you can take short-acting oral contraceptives at the same time, or have an intrauterine device inserted after 2 menstruations.

Follow-up

Follow-up of medical abortion is the most important, because after the gestational sac is expelled, the decidua will still be gradually expelled, so regular follow-up is crucial. 1) One week after medication: If the fetal sac is not expelled on the day of medical abortion, a follow-up examination should be conducted one week later. If it is confirmed that the pregnancy is continuing or the embryo has stopped growing, vacuum aspiration should be performed. 2) 2 weeks after medication: If there is not much bleeding after the fetal sac is expelled, you can continue to observe the situation. B-ultrasound examination or HCG measurement should be performed. If necessary, the uterus should be cleaned and the scraped material should be sent for pathology. 3) After 6 weeks of medication, evaluate the abortion effect and understand the menstrual recovery status. If vaginal bleeding persists, uterine curettage may be necessary.

Abortion effect evaluation

1) Complete abortion: spontaneous expulsion of the complete gestational sac or no obvious expulsion of the gestational sac 14 days after medication, no gestational sac found by B-ultrasound or negative urine pregnancy test, uterus returns to normal size, and bleeding stops without curettage; 2) Incomplete abortion: spontaneous expulsion of the gestational sac within 14 days after medication, and curettage is performed due to excessive bleeding from the gestational sac including the decidua or for too long until the onset of menstruation; 3) Failure: no expulsion of the gestational sac within 14 days after medication, the uterus remains the same or continues to grow, blood HCG rises, gestational sac is still found by B-ultrasound, and artificial abortion vacuum aspiration is used to terminate the pregnancy.